Doctor Name: | MR. HENRY DUANE HAMILTON |
NPI Number: | 1366685554 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCADC |
License Number: | 37LC00118000 |
Business Practice Address: | 134 Evergreen Pl Suite 303 East Orange, NJ - 070182011 |
Business Phone Number: | 9736786015 |
Business Fax Number: | 9736783968 |
Mailing Address: | Po Box 28109, 134 Evergreen Pl NEWARK |
State: | NJ |
Postal Code: | 071012482 |
Phone Number: | 9736786015 |
Fax Number: | 9736783968 |
NPI Enumeration Date: | 04/17/2009 |
NPI Last Update Date: | 04/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 37LC00118000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |